| NPI | 1346685252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 276696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 276696) |
| 207R00000X Internal Medicine (Licence: CT 55375) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2019-09-20 |